GENEVIEVE GERTRUDE DY (NP) – Nurse Practitioner, NPI 1093880338

GENEVIEVE GERTRUDE DY (NP) is a healthcare provider. based in South san francisco, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 9387 (CA). The NPI Number for GENEVIEVE GERTRUDE DY (NP) is 1093880338

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
GENEVIEVE GERTRUDE DY (NP)
NPI
1093880338
Phone
Not provided
Address
1200 EL CAMINO REAL
Enumeration Date
22 November 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507422000
Graduation Year
1997 (29 years ago)
PAC ID
8325224900
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20110516000692
Address ID
CA940803208SO1200XREAL400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for GENEVIEVE GERTRUDE DY (NP)

  • Camino Real, San Francisco Paxtlahuaca, San Agustín Atenango, Oaxaca, Mexico

    ORCHID CENTER

    SOUTH SAN FRANCISCO, CA 940803208

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110516000692INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How do I look up GENEVIEVE GERTRUDE DY (NP) by NPI?
Use NPI 1093880338 when you need to reference GENEVIEVE GERTRUDE DY (NP) in forms, claims, or directories.
Does this profile mean GENEVIEVE GERTRUDE DY (NP) is currently active?
Yes — GENEVIEVE GERTRUDE DY (NP) appears active in the national provider directory.
Does GENEVIEVE GERTRUDE DY (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for GENEVIEVE GERTRUDE DY (NP). Clinical services aligned with this taxonomy classification.
Does GENEVIEVE GERTRUDE DY (NP) practice in California?
You will see South San Francisco, California on file for GENEVIEVE GERTRUDE DY (NP) alongside any extra practice locations.
What if South San Francisco, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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